CSP New Customer Application
New customer application for Consolidated Supply Partners, LLC. Complete the form to set up your account, ordering logins, ship-to locations, tax status, payment terms, product catalog requests, and billing acknowledgment.
Welcome. We are so glad you are here. At Consolidated Supply Partners, our purpose is simple: to serve you and your team with quality products, dependable supply, and people who treat your business as their own. Please complete this application so we can set up your account, ordering logins, ship-to locations, and your catalog and pricing. We typically set up new accounts within one to two business days.
How to work with us. Place an order: online through your webstore, email orders@needconsumables.com, or call or text (888) 455-2779 · Questions: sales@needconsumables.com or your Account Executive · Billing (AP/AR): accounting@needconsumables.com · Phone: (888) 455-2779 · Online: www.needconsumables.com
Business Information
Legal company name
*
DBA / trade name
Business type
*
Please Select
Corporation
LLC
Partnership
Sole Proprietor
Government agency
Nonprofit
Other
Industry
*
Please Select
Portable Sanitation
Waste and Recycling
Janitorial and Cleaning Services
Facilities Maintenance
Construction
Government
Education
Healthcare
Hospitality
Food Service and Catering
Events and Event Facilities
Emergency Response / Natural Disaster Response
Remediation and Restoration
Transportation
Equipment Rental
Distribution / Wholesale
Manufacturing and Industrial
Energy, Oil and Gas
Agriculture
Property Management
Retail
Other
Please tell us your industry
Federal Tax ID / EIN
*
State of incorporation / formation
Years in business
DUNS number (if you have one)
Billing address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Physical address, if different
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Company phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Company email
*
example@example.com
Website
Does the company require a PO number on every invoice?
Yes
No
PO format notes
Does the company pay through a vendor portal such as Coupa or Ariba?
Yes
No
Vendor portal name (if applicable)
Contacts
Owner/Principal 1 Name
First Name
Middle Name
Last Name
Owner/Principal 1 Title
Owner/Principal 1 % Owned
Owner/Principal 2 Name
First Name
Middle Name
Last Name
Owner/Principal 2 Title
Owner/Principal 2 % Owned
Accounts Payable Contact Name
*
First Name
Middle Name
Last Name
Accounts Payable Contact Email
*
example@example.com
Accounts Payable Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Ordering Contact Name
*
First Name
Middle Name
Last Name
Primary Ordering Contact Title
Primary Ordering Contact Email
*
example@example.com
Primary Ordering Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Ordering Contacts
Site/Receiving Contact Name
First Name
Middle Name
Last Name
Site/Receiving Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Online Ordering Logins
CSP assigns and returns each ordering access login.
Online ordering users
*
I will send additional users separately
Yes
Ordering user 1 full name
Ordering user 1 email address
example@example.com
Ordering user 1 location
Ordering user 2 full name
Ordering user 2 email address
example@example.com
Ordering user 2 location
Ordering user 3 full name
Ordering user 3 email address
example@example.com
Ordering user 3 location
Ordering user 4 full name
Ordering user 4 email address
example@example.com
Ordering user 5 email address
Ordering user 5 location
Ordering user 4 location
Ordering user 5 full name
Ship-To Locations
Ship-To Locations
*
I will send additional locations separately
Yes
Location list
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Tax Status
Tax status
*
Taxable
Tax-exempt (government, nonprofit, school, etc.)
Resale (buying to resell)
States claiming exemption
*
Exemption or resale certificate number(s)
Upload your tax exemption or resale certificate
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Standard payment is due at order or upon fulfillment by credit card or ACH. Terms may be extended after approval: new accounts start at Net 15 and may move to Net 30 after a history of on-time payment. Terms beyond Net 30 are only offered under special circumstances with owner approval. A 3% processing fee applies to all credit card payments.
IRS 501(c)(3) determination letter
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Government tax-exempt letter
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of
Payment Terms
Preferred Payment Arrangement
*
Pay at order / upon fulfillment by credit card
Pay at order / upon fulfillment by ACH
Apply for terms (Net 15 to start)
Requested Credit Limit ($)
Estimated Monthly Purchase Volume ($)
Annual Revenue ($)
Bank Name
Bank Contact / Officer Name
First Name
Middle Name
Last Name
Bank Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Trade Reference 1
Trade Reference 2
Trade Reference 3
Upload Credit References or Existing Credit Application
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of
Bankruptcy in the Last 7 Years
*
Yes
No
Bankruptcy Explanation
Any Past-Due Balances with Suppliers Currently
*
Yes
No
Authorization to Verify References and Obtain Credit Information
*
Products to Quote or Add
I am attaching my current order guide / price list / invoices
Yes
Upload current order guide / price list / invoices
Upload a File
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Choose a file
Cancel
of
Products to quote or add
Product categories
Bath tissue
Paper towels
Hand soap & sanitizer
Trash liners
Cleaning chemicals
Janitorial supplies
Breakroom
Foodservice
Safety & PPE
First aid
Logo'd apparel
Disaster response
Other
Customer Partnership & Terms Acknowledgment 1. Payment: Customer agrees to pay on the terms approved for the account (payment at order or upon fulfillment unless terms are approved in writing) and keep the account in good standing; past-due balances may be subject to finance charges and the account may be placed on hold. 2. Partnership: Customer agrees to partner with CSP and its supplier partners for the products CSP supplies and to place orders through CSP. 3. Invoicing: Customer will receive invoices from CSP and agrees to remit payment as directed on the invoice within the agreed terms. 4. Accurate information: Customer agrees to keep contacts, ship-to locations, billing and tax information current and to provide a valid exemption certificate for any tax-exempt purchases. 5. Confidentiality: Pricing, catalogs and program details CSP shares are confidential and for Customer's internal use only. 6. Card fee and freight: A 3% processing fee applies to credit card payments. Freight is billed as invoiced unless free freight applies. 7. Our commitment: CSP commits to 100/0 on every order: full accountability and zero excuses. We will keep you informed, own any problem on our side, and make it right.
Billing Information and Acknowledgment
Certifications and Agreement
*
I certify that the information provided is true and complete
I am authorized to submit this application on behalf of the company
I agree to the Customer Partnership & Terms Acknowledgment
Authorized Signer Full Name
*
First Name
Last Name
Title
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
E-signature
*
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